An alcohol-dependent individual says, 'Drinking helps me cope with being a single parent.' Which response by the nurse would help the individual conceptualize the drinking more objectively?

Correct Answer: D

Rationale: The correct answer is D because it encourages the individual to reflect on their past behavior and consequences of drinking. By asking about the last drinking episode, the nurse helps the individual connect their coping mechanism with actual outcomes. This approach promotes self-awareness and personal responsibility. Choice A focuses on fear-mongering and may increase resistance. Choice B may come off as confrontational and judgmental, hindering open communication. Choice C is accusatory and may trigger feelings of guilt or shame, rather than fostering insight. Overall, choice D is the most effective as it guides the individual to explore their experiences and understand the link between drinking and its effects.

Correct Answer: A

Rationale: The correct answer is A because stabilizing the patient's vital signs is the top priority in this critical situation. A blood pressure of 66/40 mm Hg indicates severe hypotension, which can lead to organ failure. A pulse of 140 bpm and shallow respirations of 8 bpm indicate poor perfusion and respiratory distress. Achieving a BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 bpm indicates improved perfusion and oxygenation, which are crucial for the patient's survival. Option B is incorrect as achieving a drug-free state is not the immediate priority in an overdose situation. Option C is incorrect as attending Narcotics Anonymous meetings is important for long-term recovery but not the immediate priority. Option D is incorrect as identifying community resources for substance abuse treatment is important but not as critical as stabilizing the vital signs in an overdose situation.

Correct Answer: D

Rationale: The correct answer is D because observing for depression and suicidal ideation is crucial when caring for a patient withdrawing from CNS stimulants. Depression and suicidal ideation are common withdrawal symptoms, so monitoring for these signs is essential for the patient's safety. It allows for early intervention and appropriate support to prevent any harm. Choice A is incorrect as frequent physical contact may not be appropriate and can potentially agitate the patient during withdrawal. Choice B is incorrect as intellectual activities requiring concentration may overwhelm the patient who is already going through withdrawal symptoms. Choice C is incorrect as denying the patient's requests can lead to increased agitation and resistance during withdrawal, which is not conducive to effective care.

Correct Answer: D

Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.

Correct Answer: B

Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.